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How med students get experience

Suezoled

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Joined
Sep 20, 2003
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I was thinking about Rouser2's assertion that medical students got experience with patients who were knocked out.
But I kept thinking about that, and I don't recall anything of the sort.

An Anecdotal tale:

When I was in the hospital for various chemotherapy treatments, very often the doctor or nurse would come in and say "this is so-n-so, he's a med student (it was also a teaching college). Would you be comfortable if he performed your [lumbar puncture/ bone marrow test/ blood test/ etc etc]. If I wanted to, as a child, I could say yes or no. I could also tell the student to stop doing what he was doing and let the doctor or nurse take over. The student never took offense; I never told them to leave, which I could also have done, but they also learned by observation.

This was a student who had gone through and passed several classes, exams, and proven themselves willing to learn. Some of them were married, some had kids of their own, some of them were people who had put their nose to the textbook all the way. How did I know? Because I talked to them. When they were doing something, or recording my readings, I asked them questions; what they were doing, for what purpose, and why they were doing it the way they were and how it worked. They explained to me what they were doing, and if I needed to understand better (I was 11 and 12 mind you), I'd ask for clarification.

Almost always the student thanked me for letting me do a task, or at least observing.

I had felt that the future of medicine was in pretty good hands.
 
Suezoled said:
I was thinking about Rouser2's assertion that medical students got experience with patients who were knocked out.
But I kept thinking about that, and I don't recall anything of the sort.

An Anecdotal tale:

Here's another anecdote. I had a cut on the top of my scalp that required stitches, so I was in the emergency room. The ER doctor who came to do my stitches told me she was a fourth-year med student, and also that I was her first head wound. She was cute, I was 18, I didn't think there was any huge medical risk, so I had no problem with it. (Actually, "She was cute and I was 18" probably overrode any considerations I might have had about risk. It's probably only in retrospect that I'm thinking about the risk issues.)

On the other hand, my brother describing his ER shifts in a state where he was so sleep-deprived that he was hallucinating made the hair stand up on the back of my neck.
 
Dr. Atul Gawande's Complications: A Surgeon's Notes on an Imperfect Science is an excellent account on the training a doctor receives during internship. It's not just a blow-by-blow account, but an analysis of the system, how oversight is done, what methods have been used (and not used) to increast quality control and reduce accidents, etc. He acknowledges that both medicine and training are falliable, shows why that must be true, and shows how it is dealt with within the limits of what is possible.
 
My son had student doctors examine him at his rheumatologist's office. They all asked politely first and then moved his joints around just like the regular doc. Also, my sis-in-law, while going through infertility treatments had student docs come in to learn and practice. She too, always had the option of just having the regular doctor.
 

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